Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.71 / $27.40 / $57.22	Facility	26	$24.71	$27.40	$57.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $184.66 / $373.49	Professional		$151.93	$184.66	$373.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $24.71 / $73.37	Professional	26	$22.06	$24.71	$73.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.94 / $152.38 / $303.14	Professional	TC	$128.94	$152.38	$303.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $17.82 / $30.69	Professional	26	$17.54	$17.82	$30.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $174.90 / $293.58	Professional		$142.03	$174.90	$293.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $48.00 / $73.55	Professional	26	$21.92	$48.00	$73.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.00 / $131.38 / $207.68	Professional	TC	$111.00	$131.38	$207.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $214.41 / $323.49	Professional		$156.36	$214.41	$323.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $30.54 / $48.39	Professional	26	$23.37	$30.54	$48.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.74 / $185.10 / $273.92	Professional	TC	$136.74	$185.10	$273.92
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $45.00 / $54.42	Facility	26	$26.65	$45.00	$54.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $563.22 / $563.22 / $563.22	Professional		$563.22	$563.22	$563.22
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $844.84 / $844.84 / $844.84	Professional	50	$844.84	$844.84	$844.84
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $474.54 / $474.54 / $474.54	Professional	TC	$474.54	$474.54	$474.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $152.92 / $238.04	Professional		$44.14	$152.92	$238.04
United Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $203.15 / $327.35	Professional		$145.27	$203.15	$327.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.71 / $26.53 / $44.50	Professional	26	$21.71	$26.53	$44.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.29 / $170.08 / $287.18	Professional	TC	$125.29	$170.08	$287.18